Individual provider Active NPI

Katheryn J. Lauer, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Yakima, WA
National Provider Identifier
1407910425
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD60749471 Issued in WA
Practice address
302 S 10TH Ave
Yakima, WA 98902-3521
Phone
(509) 574-3600
Fax
(509) 574-3654
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60749471 WA
Family Medicine Physician 207Q00000X 51613 MN
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD60749471 WA Primary

Addresses

Primary practice location

302 S 10TH Ave
Yakima, WA 98902-3521

Mailing address

PO Box 9787
Yakima, WA 98909-0787
Phone (509) 574-3600

Other practice location 1

400 East 3rd Street
SMDC Medical Center-Duluth Clinic
Duluth, MN 55805
Phone (218) 786-4020

Other practice location 2

508 S 4th Ave
Yakima, WA 98902-3547
Phone (509) 574-6139

Other identifiers 3

IdentifierTypeStateIssuer
1407910425MedicaidWI
1407910425MedicaidMN
2083894MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809002131 WA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6507950425 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60749471WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Sep 1, 2022 Accepting new patients
Community Health of Central Washington CurrentSince Sep 3, 2017 Accepting new patients
King County Public Hospital District No 2 CurrentSince Sep 1, 2022 Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Sep 3, 2017 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Yakima Valley Memorial Physicians PastSince Aug 2, 2020 Accepting new patients

Locations

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1407910425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9787",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090787",
            "telephone_number": "509-574-3600",
            "fax_number": "509-574-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 10TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023521",
            "telephone_number": "509-574-3600",
            "fax_number": "509-574-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 East 3rd Street",
            "address_2": "SMDC Medical Center-Duluth Clinic",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "55805",
            "country_code": "US",
            "telephone_number": "218-786-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023547",
            "country_code": "US",
            "telephone_number": "509-574-6139",
            "fax_number": "509-574-6138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "KATHERYN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60749471",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51613",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD60749471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407910425",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407910425",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083894",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.